2023-11-29 06:04:00
the essential Total removal of the prostate by surgery, particularly robotic surgery, is one of the standard treatments for prostate cancer. Near Toulouse, urologists have developed a “preparation” program for patients before the operation. So that they recover faster and better.
The use of minimally invasive robotic surgery has made progress in the treatment of prostate cancer. Patients can benefit from a more precise and less traumatic procedure for the tissues. At the Croix du sud clinic (Ramsay group), near Toulouse, the urological surgeons (Urosud) wanted to go further with the implementation of a preparation program, ahead of the operation. They are from publish, in the journal European Urology Oncologythe results of five years of monitoring their experience.
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“Less significant trauma”
“While surgery had progressed a lot, we noticed that we were lacking in therapeutic education. Patients lacked information on the intervention itself, on the possibility of preparing with physiotherapy sessions, on the wearing of the urinary catheter or even on the return home. When we prepare all of this, the trauma is less significant. Let’s not forget that the total removal of the prostate is a surgical procedure against cancer which affects the organs of masculinity”, says Dr Guillaume Ploussard, urologist at the Croix du Sud clinic.
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From 2018, an experiment with a patient support system has been set up around individual and collective workshops with a dedicated nurse. The Covid-19 crisis and then the lack of staff stopped this dynamic which had made it possible to support nearly 700 patients. Since July 2023, a digital tool has taken over. An application provides information on the recommended diet, showering and hair removal before surgery, help with smoking cessation, physical activities such as core training and endurance to recover more quickly after the procedure or even on the management of the probe urinary.
Better bladder control
“More than 60 patients have been supported thanks to this application and we can clearly see the difference. I noticed fewer complications, fewer calls to the emergency room, and earlier recovery of urinary function. During the post-operative consultation (a month and a half later), we went from 70% to 90% of patients able to control their bladder. We are collecting a lot of useful data to improve our practices”, concludes Dr Guillaume Ploussard.
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